| NPI | 1629396932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A DURKIN Credentialing Manager 208-664-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: WA MD00047026) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |